healthy minds network: measuring mental health …...source: hms 2007-2014 note: anxiety and eating...

24
Healthy Minds Network: Measuring Mental Health and Well-being in University Populations Flourishing University Seminar, Queen Mary University of London September 8, 2017 Daniel Eisenberg, Ph.D. University of Michigan Friday, 15 September 17

Upload: others

Post on 08-Jul-2020

0 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Healthy Minds Network: Measuring Mental Health and Well-being

in University Populations

Flourishing University Seminar, Queen Mary University of London

September 8, 2017

Daniel Eisenberg, Ph.D.University of Michigan

Friday, 15 September 17

Page 2: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Agenda

I. About the Healthy Minds Network (HMN)

II. Survey Data (Healthy Minds Study)

III. Economic Case for Student Mental Health

IV. Related Projects

Friday, 15 September 17

Page 3: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

I. About the Healthy Minds Network (HMN)

II. Survey Data (Healthy Minds Study)

III.Economic Case for Student Mental Health

IV. Related Projects

Friday, 15 September 17

Page 4: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Long-Term Agenda

Collect descriptive population data

Design and evaluate programs and interventions

How to invest most efficiently in mental health (and success and wellbeing) in

student populations?

Practitioners

Administrators

Policymakers

Students

Friday, 15 September 17

Page 5: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Development of the Healthy Minds Network

5

Friday, 15 September 17

Page 6: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Dissemination Strategies

Webinar series

Research briefs

Data reports

Data interface (data.healthymindsnetwork.org)

College Mental Health Research Symposium

Partnerships (e.g., Active Minds, Jed Foundation, Center for Collegiate Mental Health, health IT companies etc.)

Friday, 15 September 17

Page 7: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Data Reports

Friday, 15 September 17

Page 8: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

I. About the Healthy Minds Network (HMN)

II. Survey Data (Healthy Minds Study)

III. Economic Case for Student Mental Health

IV. Related Projects

Friday, 15 September 17

Page 9: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Healthy Minds Study

! Began in 2005! >150 campuses! >200,000 survey respondents

Main Topics! Mental health (e.g., depression, anxiety, self-injury, suicidality, positive

mental health)! Lifestyle and health behaviors (e.g., substance use, exercise, sleep)! Attitudes and awareness! Service utilization! Academic and social environment

9

Friday, 15 September 17

Page 10: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

~35% of Students Have an Apparent Mental Health Problem

0

25

50

75

100

Mild dep (PHQ-9)Major dep (PHQ-9)Moderate anx (GAD-7)Severe anx (GAD-7)Eating disorder (SCOFF)NSSI Suic. ideationAny problem

35

81616

712108

Source: HMS 2007-2014Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only.

Friday, 15 September 17

Page 11: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Prevalence of Mental Health Problems Increasing Over Time (?)

Friday, 15 September 17

Page 12: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Large Variations across Campuses in Prevalence of Mental Health Problems

Friday, 15 September 17

Page 13: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Comparisons Across Institutions (example: University of Michigan)

Friday, 15 September 17

Page 14: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

<50% of Students with Mental Health Problems Receive Treatment

0

25

50

75

100

Mild dep (PHQ-9)Major dep (PHQ-9)Moderate anx (GAD-7)Severe anx (GAD-7)Eating disorder (SCOFF)NSSI Suic. ideationAny problem

3953

424053

4547

31

Source: HMS 2007-2014Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only.

Friday, 15 September 17

Page 15: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Even When Received, Treatment is Often Inadequate

• Among students with significant symptoms and treatment in past year, 57% received “minimally adequate” depression care• “minimally adequate” =4+ psychotherapy visits or 2+ months of

antidepressant medication

• Among all students with past-year depression, 22% received minimally adequate care

15

Eisenberg, D., Chung, H. (2012). Adequacy of Depression Treatment in College Student Populations. General Hospital Psychiatry, 34(3): 213- 220.

Friday, 15 September 17

Page 16: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Expansion of Survey in 2016 through Modular Format

Friday, 15 September 17

Page 17: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

I. About the Healthy Minds Network (HMN)

II. Survey Data (Healthy Minds Study)

III. Economic Case for Student Mental Health

IV. Related Projects

Friday, 15 September 17

Page 18: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Longitudinal Study: How does mental health predict academic success?

! Data: random sample of undergraduate and graduate students Baseline: 2005 (N=2,798)

Follow-up: 2007 (N=747)

! Outcomes: GPA, retention, credit hours

! Mental health: Depression (PHQ-9), anxiety (PHQ), eating disorders (SCOFF)

! Reference: Eisenberg, Golberstein, Hunt (2009). Mental Health and Academic Success in College. BE Journal of Economic Analysis & Policy.

Friday, 15 September 17

Page 19: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Economic Case for Mental Health Services

1000 students

+40 students

+$8 million+$2 million

Cost < $1 million

Friday, 15 September 17

Page 20: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Research-Practice Agenda

20

How to invest most effectively in student mental health?

Friday, 15 September 17

Page 21: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Friday, 15 September 17

Page 22: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

“Gatekeeper Training” Programs

• Evaluation of Mental Health First Aid (MHFA) training for resident advisors (RAs)• PIs: Daniel Eisenberg and Nicole Speer• Funder: NIMH RC1 (2009-2011)

• 32-campus randomized trial to assess impacts on student communities

• Results in Lipson et al. (2014 J Adolescent Health)

22

Friday, 15 September 17

Page 23: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

Investing in Mental Health: Opportunities to Do Better

Friday, 15 September 17

Page 24: Healthy Minds Network: Measuring Mental Health …...Source: HMS 2007-2014 Note: Anxiety and eating disorders estimates based on 2013 and 2014 data only. Friday, 15 September 17 Even

More Information

Daniel Eisenberg: [email protected]

Healthy Minds Network team: [email protected]

Website: www.healthymindsnetwork.org

Friday, 15 September 17